Perspectives of Nurses About Factors Affecting Quality of Care at the Solomon Islands National Referral Hospital During the 2016-2017 Dengue Outbreak: A Qualitative Study.
Norma Denty GouloloHugo BugoroMaxine WhittakerSarah LarkinsHumpress HarringtonKaren CarlisleDavid MacLarenRebecca EvansPublished in: Asia-Pacific journal of public health (2021)
During the 2016-2017 Solomon Islands dengue outbreak, the National Referral Hospital (NRH) in Honiara was the epicenter for the national response. High-quality nursing care is critical for successful management and this study investigated the factors affecting the quality of nursing care for patients admitted to NRH with dengue. Data were collected using two methods: (a) Focus group discussions with nurses who cared for dengue patients and (b) a self-administered questionnaire completed by a senior manager. Analysis of qualitative data using a thematic technique found two key factors affected care: (a) training on protocols and guidelines for clinical management and (b) planning and preparedness of NRH. Quality of care was influenced by lack of basic equipment, transport provided for nursing staff to attend shifts, and confusion between allowances for regular salaried staff and extra staff assisting with the outbreak. Specific attention is needed in future outbreaks to ensure staff understand protocols, follow guidelines, and that adequate equipment is provided.
Keyphrases
- quality improvement
- healthcare
- zika virus
- dengue virus
- aedes aegypti
- end stage renal disease
- palliative care
- mental health
- long term care
- primary care
- newly diagnosed
- chronic kidney disease
- ejection fraction
- big data
- public health
- clinical practice
- working memory
- cross sectional
- emergency department
- machine learning
- prognostic factors
- pain management
- adverse drug
- patient reported outcomes
- data analysis
- virtual reality
- patient reported